Mentor Application Form Home 9 Mentor Application Form Basic InformationFull Name*Email Address* Phone Number*LinkedIn ProfileCompany Name & TitleExperience & BackgroundIndustry/Domain ExpertiseBrief Bio(250 words max)Years of Experience in Your IndustryKey Areas of Expertise (Check all that apply) Go-To-Market Strategy Marketing and Brand Building Product and Engineering Support Media and Thought Leadership Specialized Practices Previous Mentorship Experience Yes No If Yes, describe brieflyDescribe brieflyHave you previously worked with startups? Yes No If Yes, in what capacity? Advisor, Investor, Founder, etc.In what capacity? Advisor, Investor, Founder, etc.Mentorship PreferencesWhy are you interested in mentoring in our accelerator?Preferred Mentorship Format: (Check all that apply) One-on-One Coaching Group Workshops Office Hours Networking Events Investor/Partner Introductions Preferred Commitment Level: (Check one) Light (1-2 hours per month) Moderate (2-5 hours per month) Intensive (5+ hours per month) Additional InformationWhat specific skills, insights, or networks can you bring to the startups in our accelerator?Do you have any conflicts of interest (e.g., investments in competing startups)? Yes No If Yes, explain brieflyExplain brieflyWould you be open to speaking at our accelerator events? Yes No
